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Other factors that could lead to B12 deficiency are: Lack of adequate production of the intrinsic factor needed for B12 absorption B12 deficiency is common in elderly people as absorption of the vitamin reduces with age People who have had any intestinal surgery, such as that for weight loss Those with gut conditions such as Crohn's Disease, inflammatory bowel disease, or celiac disease SLIDESHOW See Slideshow Vitamin B12 injections Vitamin B12 supplements are given based on the condition that causes deficiency

Here is how to handle the most common situations that force you off the standard schedule

Ng FM, Sun J, Sharma L, Libinaka R, Jiang WJ, Gianello R

Julie Wichlin (B12 Bandit) explores this in more depth on her Substack: PAS members can get support understanding their own results through our helpdesk: 20 Years of Education, Research & Support

Not in the same routine

niacinamide is generally well tolerated